Bodily Injury Claims Adjuster

Posted 5 days ago

This is a fully remote position, open to applicants in Alabama, +20 more states.

📋 Description

• Conduct investigations, evaluations, negotiations, and resolutions for bodily injury claims.

• Perform comprehensive investigations, which include reviewing medical records, police reports, and witness accounts.

• Assess liability and damages in accordance with policy language, state laws, and relevant legal standards.

• Maintain communication with claimants, attorneys, medical providers, and other parties involved.

• Analyze medical records, treatment plans, and billing documentation to evaluate the severity of injuries and potential claim exposure.

• Negotiate fair and prompt settlements within the established authority guidelines.

• Manage attorney-represented claims from the initial investigation phase to resolution.

• Work in conjunction with management, legal counsel, and internal stakeholders to resolve complex claims.

• Ensure accurate and complete documentation of claim files in line with company standards and regulatory requirements.

• Stay updated on trends in bodily injury claims, insurance regulations, and industry best practices.

• Review and submit demand evaluations to the supervisor within seven calendar days of receiving them.

• Confirm that all conditions of the demand are met before extending settlement offers.

• Make initial settlement offers no later than three days prior to the expiration of the demand.

• Provide assistance with litigated claim files as necessary.

• Perform additional duties as assigned.


⛳️ Requirements

• At least 3 years of experience handling attorney-represented bodily injury claims.

• A minimum of 3 years of experience in bodily injury claims adjusting.

• Experience in handling auto claims.

• Experience in litigation related to attorney-represented claims.

• Strong knowledge of insurance coverage, liability investigations, and evaluations of bodily injury claims.

• Familiarity with medical terminology, anatomy, and injury assessment techniques.

• Exceptional negotiation and settlement capabilities.

• Strong verbal and written communication skills.

• Proficient in claims management systems and Microsoft Office Suite.

• Availability to work Monday through Friday, from 8:00 AM to 4:30 PM PST, supporting California claims operations.

• Possession of a bachelor’s degree or equivalent experience in insurance claims.

• Preferred experience in California claims.

• Preferred experience in non-standard auto insurance.

• Preferred experience handling multi-state claims.

• Preferred possession of active adjuster licenses in multiple states.

• Strong investigative and analytical skills.

• Sound judgment and decision-making capabilities.

• Ability to juggle multiple priorities in a fast-paced environment.

• Keen attention to detail and strong organizational skills.

• Excellent customer service and relationship-building abilities.

• Capacity to work independently while also contributing to a collaborative team environment.


🏝️ Benefits

• A sign-on bonus of $2,500.

• Options for remote work.

• Occasional overtime may be required.

• Potential for occasional travel based on business needs.

• Reasonable accommodations for qualified individuals with disabilities and sincerely held religious beliefs and practices.

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